When an agency has policies that require nurses to write focus notes, the nursing documentation can include what?
A) Areas of personal accomplishments
B) Areas of personal weakness
C) Social networks
D) Family concerns
D
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A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively
With which patient should the nurse be most alert for alterations in cardiac or cerebral electrical conductivity and fluid and electrolyte imbalance? The patient receiving: a. lithium (Lithobid). b. clozapine (Clozaril). c. fluoxetine (Prozac). d. venlafaxine (Effexor).
Which third-generation antipsychotic medication acts by stabilizing the dopamine system?
a. Aripiprazole (Abilify) b. Ziprasicone (Geodon) c. Quetiapine (Seroquel) d. Risperidone (Risperdal)
A client is receiving IV caspofungin (Cancidas) for a severe Candida infection. During an infusion of the dose, the nurse notes a reddened area along the vein tract, and the client complains of pain. What is the highest priority nursing intervention?
a. Stop the infusion. b. Speed up the infusion. c. Administer an analgesic during the infusion. d. Elevate the infusion extremity above the heart.
A 73-year-old woman has been providing for all of her husband's needs since he was first diagnosed with Alzheimer's disease 2 years ago
The woman considers herself to be resourceful and resilient and is proud of the fact that her husband has been able to remain in his home for so long. Today, however, the woman describes herself to the nurse as being "drained dry" and "near the end of my rope." The nurse should recognize the possibility of what nursing diagnosis? A) Ineffective Coping related to client's changes in health as evidenced by the wife's statement that she is "near the end of my rope" B) Caregiver Role Strain related to caregiving responsibilities as evidenced by the wife's statement that she is "near the end of my rope" C) Fatigue related to caregiving responsibilities as evidenced by the wife's statement that she is "drained dry" D) Risk for Anxiety related to client's prognosis as evidenced by the client's wife's statement that she is "near the end of my rope"